普外科术后患者口渴情况调查及相关因素研究

Study on Postoperative Thirst Status Quo and Related Influencing Factors Among Patients in General Surgery Department

目的调查普外科术后患者的口渴程度、口渴痛苦程度现状及其影响因素,为改善普外科术后患者的口渴状态、完善相关护理措施提供参考。方法便利选取2021年3月至2022年1月收治于复旦大学附属华山医院普外科的224例术后患者,采用一般资料调查表、口渴程度量表和口渴痛苦程度量表进行调查,对相关数据进行单因素分析及多因素分析。结果普外科术后患者的口渴程度及口渴痛苦程度得分分别为(6.56±2.28)分和(5.39±2.33)分。单因素分析结果显示,高龄、开腹手术患者口渴程度更明显(P<0.05),开腹手术患者口渴痛苦程度更明显(P<0.05)。多因素分析结果显示,开腹手术是普外科术后患者口渴痛苦程度的独立危险因素(OR=1.816,P=0.031)。结论普外科术后患者口渴程度及口渴痛苦程度普遍较高,临床护理人员应根据患者年龄采取针对性的干预措施;对行开腹手术的患者提前制订好预防及护理措施,以减轻患者术后口渴痛苦程度。

Objective To investigate the status quo and influencing factors of postoperative thirst intensity and thirst distress among patients in general surgery departments,providing a reference for improving the postoperative thirst status of the patients and improving related nursing measures.Methods A total of 224 patients admitted to the General Surgery Department,Huashan Hospital Affiliated to Fudan University from March 2021 to January 2022 were selected by convenience sampling.They were investigated by using the General Information Questionnaire,Thirst Intensity Scale and Thirst Distress Scale and then the related data were subject to univariate and multivariate analyses.Results The scores of postoperative thirst intensity and thirst distress among patients in the general surgery department were(6.56±2.28)points and(5.39±2.33)points respectively.The results of the univariate analysis showed that the thirst intensity was more significant in the elderly and the patients undergoing laparotomy(P<0.05),and the thirst distress was more significant in those undergoing laparotomy(P<0.05).The results of the multivariate analysis showed that laparotomy was an independent risk factor for postoperative thirst distress among patients in the general surgery department(OR=1.816,P=0.031).Conclusion Given high postoperative thirst intensity and thirst distress in the general surgery department,clinical nurses should take appropriate interventions according to the age of the patients.For patients undergoing laparotomy,preventive and nursing measures should be made in advance to relieve their postoperative thirst distress.